CDC Public Health Emergency Preparedness...

Public Health in Radiological Emergency Preparedness and

Response

Frieda Fisher-Tyler, CIHOffice of Radiation Control

Health Systems Protection Section

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Health Systems Protection Section May 17, 2012

The role of DPH in emergency preparednessThe role of DPH in radiological emergency preparedness & responseTechnological Hazards: RadiationWhat is a radiological emergency?How can MRC volunteers assist in radiological emergencies?

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Health Systems Protection Section May 17, 2012

DPH: Delaware Division of Public HealthDEMA: Delaware Emergency Management

AgencyDNREC: Department of Natural Resources and

Environmental ControlSERT: State Emergency Response TeamRDD: Radiological Dispersal DeviceRED: Radiological Exposure DeviceIND: Improvised Nuclear Device

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Health Systems Protection Section May 17, 2012

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Health Systems Protection Section May 17, 2012

To prepare and coordinate Delaware’s health and medical activities and resources during a emergency or disaster.

To expand healthcare capacity and capability.

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Health Systems Protection Section May 17, 2012

Governor’s Executive Order 13, Delaware Emergency Operations PlanTitle 20, Chapter 31, Subchapter V Public Health Emergencies, Lead Agency: Division of Public Health DPHTitle 20, Chapter 31, Subchapter III, Emergency Management, Radiological Emergency Preparedness Plan, Lead Agency: Delaware Emergency Management Agency, DEMA

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Health Systems Protection Section May 17, 2012

Emergencies with public health consequences

Natural disastersTechnological disasters

Public health emergencies

PandemicsBioterrorism

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Health Systems Protection Section May 17, 2012

Community PreparednessCommunity RecoveryEmergency Operations CoordinationEmergency Public Information and WarningFatality ManagementMass CareMedical Countermeasures DispensingMedical Material Management and DistributionMedical SurgeNon-Pharmaceutical Interventions

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Health Systems Protection Section May 17, 2012

Public Health (DPH) Laboratory TestingPublic Health Surveillance and Epidemiological Investigations (DPH)Responder Safety and HealthVolunteer ManagementMedical Evacuation/Shelter in Place

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Health Systems Protection Section May 17, 2012

State Health

Operations Center

Points of Dispensing

Shelters

Alternate Care Sites

Incident Management

Assistance Teams

Centralized Morgue

Warehouse

Assessment of radiation dose to emergency workers and the publicAssessment of radiation impacts to air, water and agriculture (crops, herds, flocks)Population monitoring for contamination of people and petsDevelop recommendations to protect the public as the emergency unfolds

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Health Systems Protection Section May 17, 2012

Provide guidance on radiation exposure or dose, and how people can protect themselves and their familiesPartner with DEMA and other agencies to assist the community with recoveryPartner with epidemiologists to collect radiation dose data for health surveillance

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Health Systems Protection Section May 17, 2012

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Health Systems Protection Section May 17, 2012

Known as the State EOC, managed and operated by lead agency DEMACoordinates response and recovery operations across the state Liaisons with federal, state, and local Emergency Operations CentersLiaisons with many partner agencies

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Health Systems Protection Section May 17, 2012

What do we mean by radiation?

How do we encounter radiation in our daily lives?

How much radiation is safe or advisable?

Transportation Accidents Orphan Source AccidentsNuclear Power Plant AccidentsRadiological Terrorism:

Radiological Exposure Device REDRadiological Dispersal Device RDDImprovised Nuclear Device IND

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Health Systems Protection Section May 17, 2012

Population Monitoring -screening of people (and their pets) for contamination

Radiological Triage - screening of patients to prioritize for bioassay and countermeasures

Countermeasures - various protocols to reduce uptake, or speed up elimination of internal contamination

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Health Systems Protection Section May 17, 2012

Examples of potential tasking, in partnership with others:

Registering members of the public, their families and pets at community reception centersAssisting with screening for contamination of persons or possessions using field survey metersTaking histories of individuals – who, where, when, for how long with respect to the incident site

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Health Systems Protection Section May 17, 2012

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Health Systems Protection Section May 17, 2012

Federal partnersState partnersLocal partnersNon-governmental partnersVolunteer groups

National Alliance for Radiation Readinesswww.radiationready.orgRadiological Emergency Medical Management, www.remm.orgRadiological Terrorism Toolkit for Public Health Officials, www.cdc.govRadiological Terrorism Toolkit for Emergency Services Clinicians, www.cdc.gov

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Emergency Medical Services and Preparedness Section December 15, 2011

Frieda Fisher-Tyler, CIHAdministrator, Office of Radiation Control

Division of Public Healthfrieda.fisher-tyler@state.de.us

302-744-4546

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Health Systems Protection SectionMay 17, 2012